Knetha Jones

Background

About Knetha Jones

A reliable and results-driven Commercial Lines Insurance professional with multi-jurisdictional and multi-lines experience in Workers’ Compensation, Automobile, General Liability, and Product Liability claims as well as Longshore and Harbor Workers Act claims. Accomplished in claims management, compliance, quality assurance, workflows, project management, training and development. Effectively communicates with all levels within the organization and recognized for strong interpersonal, organizational and leadership skills. Proficient in use of Microsoft Office - Word, Excel, PowerPoint, Claims and Data Management Systems – FOCUS, SOURCE, Renaissance, QISS, CompSuite and OnBase. Regulatory, Contractual, Procedural Compliance Performance Improvement Claims Expert, Investigations, Negotiations Operating Plan Execution Best Claims Practices Implementation, Audits and Consulting Project Planning and Implementation Mail and Check processing, File Archiving Cost and Budget Analysis Team Building, Coaching, Mentoring Training and Development, Presentation Skills CAREER HIGHLIGHTS •Increased productivity, eliminated redundancies, reduced cost, standardized claim handling and improved regulatory compliance. •Attained “High Performer” designation by Texas Department of Insurance •Developed monthly reports to identify trends and analyze individual and office performance •Consistently achieved monthly closing ratios of over 100% resulting in caseload reduction. •Led multiple projects including staffing assessment, Electronic Data Interchange / Electronic Medical Bills Payment and Pharmacy Closed Formulary Implementation. •Created client instruction manual for use in documenting procedures and training staff. •Provided jurisdictional, best claim practices and back to basics training and guidance. •Identified fraud which resulted in state and federal prosecution. •Recruited, hired, trained and managed technical and support staff •Managed accounts, vendors, and projects